K S Price1, D M Thomson. 1. Department of Medicine, Montreal General Hospital, McGill University.
Abstract
BACKGROUND: Aspirin intolerance manifested as bronchospasm or urticaria/angioedema has been observed since the beginning of this century. OBJECTIVE: To report a novel case of intolerance to aspirin ingestion. METHODS: Case report; routine skin testing; pulmonary function testing; aspirin challenge. RESULTS: A 30-year-old man with a history of left ocular trauma at the age of 10 noted a 3-year history of left periorbital angioedema after aspirin but not other nonsteroidal anti-inflammatory drugs. Incremental oral aspirin challenge resulted in this unilateral symptomatology at a dose of 673 mg. CONCLUSION: To the best of our knowledge, this is the first reported case of unilateral periorbital edema following aspirin ingestion.
BACKGROUND:Aspirin intolerance manifested as bronchospasm or urticaria/angioedema has been observed since the beginning of this century. OBJECTIVE: To report a novel case of intolerance to aspirin ingestion. METHODS: Case report; routine skin testing; pulmonary function testing; aspirin challenge. RESULTS: A 30-year-old man with a history of left ocular trauma at the age of 10 noted a 3-year history of left periorbital angioedema after aspirin but not other nonsteroidal anti-inflammatory drugs. Incremental oral aspirin challenge resulted in this unilateral symptomatology at a dose of 673 mg. CONCLUSION: To the best of our knowledge, this is the first reported case of unilateral periorbital edema following aspirin ingestion.